Organization
MANOR CARE OF GREEN BAY WI (WEST) LLC
Active
Other names
ManorCare Health Services-West
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARTIN D ALLEN (DIRECTOR)
(419) 252-5743
Entity
Organization
Contact information
Practice address
1760 SHAWANO AVE, GREEN BAY, WI 54303-3216
(920) 499-5191
(920) 499-8959
Mailing address
333 N SUMMIT ST, TOLEDO, OH 43604-2615
(419) 252-5500
(877) 385-9446
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2845
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20199800
—
WI
Enumeration date
05/25/2006
Last updated
05/11/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us